| Generations Visiting Practitioners Llc | |
|
4400 Nw Loop 410 Ste 115 San Antonio TX 78229-5170 | |
| (210) 598-8035 | |
| Not Available |
| Full Name | Generations Visiting Practitioners Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4400 Nw Loop 410 Ste 115, San Antonio, Texas |
| Authorized Official Name and Position | James Albert Grismore (OWNER) |
| Authorized Official Contact | 2105988035 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations Visiting Practitioners Llc 4400 Nw Loop 410 Ste 115 San Antonio TX 78229-5170 Ph: (210) 598-8035 | Generations Visiting Practitioners Llc 4400 Nw Loop 410 Ste 115 San Antonio TX 78229-5170 Ph: (210) 598-8035 |
| NPI Number | 1932593530 |
|---|---|
| Provider Enumeration Date | 03/23/2015 |
| Last Update Date | 06/18/2024 |
| Medicare PECOS PAC ID | 6800115841 |
|---|---|
| Medicare Enrollment ID | O20150424001589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932593530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (Texas) | Secondary |
| Provider Name | Maria Elena L Cantu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225236888 PECOS PAC ID: 8527953470 Enrollment ID: I20040218001113 |
| Provider Name | Lucina B Trevino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003981242 PECOS PAC ID: 1456323351 Enrollment ID: I20040811000422 |
| Provider Name | Joyce E Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851502629 PECOS PAC ID: 9335240498 Enrollment ID: I20080402000089 |
| Provider Name | Randy R Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639613037 PECOS PAC ID: 3678858164 Enrollment ID: I20170324000157 |
| Provider Name | Stellamaris E Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306355375 PECOS PAC ID: 0244599249 Enrollment ID: I20180122000210 |
| Provider Name | Janice Ann Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922509231 PECOS PAC ID: 5092057547 Enrollment ID: I20190502000404 |
| Provider Name | William Glen Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396223970 PECOS PAC ID: 9234560913 Enrollment ID: I20200513001115 |
| Provider Name | Lisa Marie Saldivar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023613262 PECOS PAC ID: 2466867684 Enrollment ID: I20210222002626 |
| Provider Name | Ann H Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750051645 PECOS PAC ID: 5294123436 Enrollment ID: I20211021000233 |
| Provider Name | Diane M Ziliox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811693179 PECOS PAC ID: 3375916026 Enrollment ID: I20230301000291 |
| Provider Name | Renita Sirena Forney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558041582 PECOS PAC ID: 8426410564 Enrollment ID: I20230822000289 |
| Provider Name | Rand Evans Murphey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508548678 PECOS PAC ID: 2264895390 Enrollment ID: I20230823000088 |
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